So you’ve booked your first orthodontic appointment. Great move! But now you’re probably asking yourself, “What happens next?” “Should I be worried?”
There’s no need to worry. To start off, during this appointment, the orthodontist isn’t just looking at your teeth. They’re evaluating how everything in your mouth works together. Bite patterns, jaw alignment, tooth spacing—all of it gets attention. And yes, you’ll get a sneak peek into what your treatment could look like.
Expect a few diagnostic steps:
● A visual examination
● Photos of your face and teeth
● X-rays for bone structure
● Impressions or digital scans
This isn’t just procedural. It’s how your orthodontist tailors a game plan that fits your mouth. It’s also the best time to ask questions, clarify goals, and feel heard. Patients often share that the most surprising part is how informative—and reassuring—the visit was.
Pre-Appointment Preparations
Before you arrive for your appointment, you’ll need to make sure you have hard copies of insurance information, along with the necessary details that’ll need to go on your new-patient forms. Start with these easy steps:
● Fill out patient intake forms online, if available
● Gather dental insurance info
● Bring a list of medications or health conditions
● Prepare questions you want answered
Your paperwork may include a medical history, past dental procedures, and consent forms. You might be thinking, “Why so much paperwork?” It helps your orthodontist get a holistic view of your dental and physical health because your mouth doesn’t operate in isolation.
Also, expect to arrive 10–15 minutes early. Offices appreciate punctual patients. Plus, that extra time gives you room to breathe, especially if you’re feeling anxious (not to mention plenty of time to fill out the forms).
During the Appointment: Step-by-Step Breakdown
Once you’ve completed the necessary paper, and your turn comes up, this is where things get interesting. Your orthodontist and their team will guide you through each phase. Most first visits include:
- Oral Examination
Your orthodontist checks bite, alignment, and jaw movement. - X-Rays and Photos
These show root position, jaw size, and hidden issues. Don’t worry—it’s painless. - Impressions or Digital Scans
They might take molds or use a handheld scanner to build a 3D model of your teeth. - Discussion
You’ll talk through findings, your goals, and what treatment (if any) makes the most sense.
Expect all this to take 45–60 minutes, depending on complexity. You won’t be pressured into making decisions then and there.
Now here’s an interesting fact: Some offices can simulate what your smile might look like post-treatment. It’s not just exciting—it’s motivating.
Common Treatment Recommendations
Not everyone needs braces, but at this point, you’ll know whether you fall into that category. If your orthodontist suggests treatment, these are the typical routes:
● Metal Braces – Reliable and precise
● Ceramic Braces – Blend in better with teeth
● Invisalign or Clear Aligners – Nearly invisible and removable
● Retainers – Often used post-treatment or for minor corrections
● Expanders – Great for younger patients with narrow arches
- Bite Correctors – Designed to correct more challenging bite issues
Treatment plans vary based on:
● Age
● Severity of misalignment
● Lifestyle needs (sports, music, etc.)
This is why discussing your goals (and challenges) with your orthodontist is key. No two patients are the same, and your situation is unique. However, rest assured that your practitioner will guide you in the right direction towards a healthy smile.
How to Choose the Right Orthodontist
You wouldn’t pick a hair stylist without reading reviews, right? Orthodontics is no different, but you might consider looking at other qualities, such as credentials, services offered, and payment arrangements.
Here are a few ideas to start with:
● Board certification
● Years of experience
● Treatment options offered
● Flexible payment plans
● Patient testimonials
Don’t underestimate the power of a good vibe, either. That sense of comfort you get when you walk in? It matters.
After Your First Visit: What Comes Next
Once your consultation wraps up, here’s what usually follows:
● The treatment timeline is explained clearly
● Cost estimates and insurance options are discussed
● Scheduling of your next steps happens right then, or you can call back later
You’ll go home with:
● A summary of the visit
● Visuals of your teeth
● Printed or emailed treatment plans
● Payment breakdowns
And yes, there might be a bit of sticker shock. However, most offices offer flexible monthly payment plans. Some even partner with third-party financing.
Emotionally? It’s a lot to process. But the clarity and the plan can be very empowering. Also, you can always contact your orthodontist if you still have questions.
FAQs About Your First Orthodontic Appointment
Do I need a referral from my dentist to see an orthodontist?
No. Many orthodontists accept self-referrals—just call and book.
How long does the first appointment take?
Anywhere from 45 minutes to 60 minutes, depending on what’s being assessed.
Will I get braces at the first appointment?
Possibly, if you and the orthodontist feel you’re ready then it can be an option.
What if I’ve already had orthodontic work before?
That’s fine. The orthodontist will assess current needs based on new goals or issues.
Is the consultation painful?
Not at all. It’s non-invasive. It mostly involves looking around and education.
How much does the first visit cost?
Some practices offer free consultations. Others may charge, especially if X-rays are included. Call ahead to confirm.
Conclusion
Now that you know what to expect at your first orthodontic appointment, you’re in a better position to show up prepared and confident. From evaluations to financial discussions, each part of the visit is designed to help you understand your oral health and map out your next steps.Need a trusted orthodontist in San Diego? Dr. Durschlag at San Diego Smile Pros offers comprehensive care for patients of all ages and complexity levels. Book a consultation and get your smile journey started with someone who gets it right the first time.

